Individual
DANIEL P EDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 MCAULEY DR, VICKSBURG, MS 39183-2825
(601) 638-7271
Mailing address
104 MCAULEY DR, VICKSBURG, MS 39183-2825
(601) 638-7271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12271
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114108
—
MS
05
—
1919292
—
LA
01
—
4231289
AETNA
MS
Enumeration date
06/26/2006
Last updated
08/08/2008
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